Not that client preferences are completely ignored.
The adoption of these SDM behaviours is critical if clinicians are to account for the variation in client preference for involvement and the different ways in which clients conceptualise involvement, as shown in our previous work [ 38].
Given that clinicians did not report asking explicitly about client preference for involvement, it is possible that discrepancies may arise between perceived and actual client preference for involvement.
Clinicians added to this their own assumption of client preference for involvement.
Some variation can exist for good reasons such as differences in health needs or client preferences such as request for pain relief or planned place of birth.
Client preferences are inadequately addressed in physician – client communication; however, client values and needs for health information can be met through the use of SDM approaches [ 4].
Client characteristics, organizational barriers, and client preferences contributed to attrition in our study.
The results from this study suggest that a uniform and structured genetic counselling appointment may not be the best method of service delivery, as preferences vary between clients, and fulfilment of clients' preferences are important for achieving desired client outcomes.
Data on demographic characteristics and client preference for various HIV testing modalities was also collected, along with data on risk factors for HIV.
Client preference for involvement was also not routinely asked about.
Moreover, and importantly for implant scale up, 39% of our outreach clients switched from short-acting methods to LAPMs, indicating client preference for longer-acting contraception.
